HomeMy WebLinkAbout36506-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
8/16/2011
No: 35148
Date: 8/16/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
3180 Duck Pond Rd, Cutchogue,
Sec/Block/Lot: 83.-2-19.7
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
6/22/2011 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
Lot No.
filed in this officed dated
36506 dated 6/22/2011
electric service repair.
The certificate is issued to
Mangiamele, Thomas & Mangiamele, Kathle
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36506 8/10/11
3~uthorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
roflor, dchort~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Tom Mangiamele
Address: 3180 Duck Pond Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: ~(~ Section: 83 Block: 2 Lot: 19.7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Doroski Electric Inc License No: 2941-e
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement [~ Service Only ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: service repair, Install new meter pan and mast
Ceiling Fixtures R HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures[E~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures!~ Time Clocks
Exit Fixtures L_J TVSS
Notes:
Inspector Signature:
Date: Aug 10 2011
81-Cart Electrical Compliance Form
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36506
Date: 6/22/2011
Permission is hereby granted to:
Mangiamele, Thomas & Mangiamele, Kathleen
3180 Duck Pond Rd
Cutchogue, NY 11935
To:
new electric service
At premises located at:
3180 Duck Pond Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot # 83.-2-19.7
Pursuant to application dated
To expire on 12/21/2012.
Fees:
6/2212011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
JOB~ITE INFORMATION: ('indicates required Inh~4"maflon)
OIIMlll ¢irdl Ail TM 14q;)ly)
· I. Job --V for In.pe~tion //~I NO RO~ In
'~ ~u ~ I Temp Ce~f~: ~~
· N~~: ~nr.~.~ Un~m~ Nu~ofMet~m Cfla~~~d
A~nal Inflation: ~~~, WITH